go back

Lower Extremity and Humerus Procedures (without CC/MCC)

Michigan rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated October 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$20,893

Typical facility fee. In Michigan, October 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $12,589 to $35,481.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,893 · 10th to 90th $8,710 to $61,660
$5K$10K$20K$50K$100Kfacility $20,893

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$19,054.61
Typical High
$39,810.72
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$33,884.42
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$20,892.96
Typical High
$61,659.50
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$26,302.68
Typical High
$34,673.69
Priority Health
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$20,417.38
Typical High
$61,659.50
United
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$22,908.68
Typical High
$33,113.11

Where Michigan sits

The same service costs 195.0 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 45th of 51

$20,893

AK $53,703HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.